1265034425 NPI number — NEW HORIZONS TREATMENT CENTER, LLC.

Table of content: (NPI 1265034425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265034425 NPI number — NEW HORIZONS TREATMENT CENTER, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HORIZONS TREATMENT CENTER, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265034425
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7131 TAFT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLYWOOD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33024-3805
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-704-9558
Provider Business Mailing Address Fax Number:
833-562-8893

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7800 W OAKLAND PARK BLVD STE 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNRISE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33351-1123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-704-9558
Provider Business Practice Location Address Fax Number:
833-562-8893
Provider Enumeration Date:
11/12/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HASSAN
Authorized Official First Name:
FIAZ
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
561-704-9558

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)